Individual
MR. MICHAEL WAYNE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2309 SAGUARO LOOP, ALAMOGORDO, NM 88310-7775
(402) 415-5043
Mailing address
2309 SAGUARO LOOP, ALAMOGORDO, NM 88310-7775
(402) 415-5043
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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